<html xmlns="http://www.w3.org/1999/xhtml" xmlns:wicket="http://wicket.apache.org/dtds.data/wicket-xhtml1.4-strict.dtd">

<wicket:extend>

    <form wicket:id="form">
        <table class="table_width100per">
            <tr>
                <td>Title:</td>
                <td><input wicket:id="title" class="component_width300pt"/></td>
            </tr>

            <tr>
                <td>Type:</td>
                <td><select wicket:id="type" class="component_width300pt"/></td>
            </tr>

            <tr>
                <td>Subtype:</td>
                <td><select wicket:id="subtype" class="component_width300pt"/></td>
            </tr>

            <tr>
                <td>Text question:</td>
                <td>
                    <textarea wicket:id="text" id="elm1" name="elm1" cols="80" rows="12" style="width: 80%; visibility:hidden; "/>
                </td>
            </tr>

            <tr>
                <td><input type="reset" value="RESET"/></td>
                <td><input type="submit" value="SUBMIT" onclick=""/></td>
            </tr>
        </table>
    </form>

    <div style="z-index: 10000000;">
        <div wicket:id="modal1"></div>
    </div>

</wicket:extend>
</html>